Apply for a Grant

The Heather Abbott Foundation is committed to our mission to help amputees who have lost limbs due to traumatic circumstances to get specialized prosthetic devices. Because so few of these devices are covered by health insurance companies, we provide assistance to individuals who we believe would benefit from the donation of the prosthetic device they need to help them return to the life they love or try something new.

Please keep in mind that we are not able to provide assistance to all individuals who apply. In the event that we aren’t able to help you, we will do our best to refer you to other charitable organizations who may have the resources you need. In order for us to learn more about your life and your circumstances so that we may assess our ability to assist you, please complete this form.

Our Board of Directors will review all requests and will determine HAF’s ability to fulfill yours. We will make every effort to inform you of our decision whether or not to move forward as soon as possible.

Before we take you to our application, please answer a few screening questions to help us determine your eligibility for grant assistance.

Phone

Are you an amputee whose limb loss resulted from traumatic circumstances? *